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751130

registered interest
date	12/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Religious Hatred
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government whether they intend to prepare a strategy for prisoners with dementia; and if so, when it will be published.
tabling member printed	Lord Bradley
uin	HL727
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>There are currently no plans to develop a specific strategy for prisoners with dementia.</p><p> </p><p>The Challenge on Dementia 2020 sets out the Government’s ambition to follow up timely diagnosis with greater access to support for people with dementia, increase public awareness and create more dementia friendly public and private organisations and communities across all settings.</p><p> </p><p>Health services in prisons are commissioned by NHS England and implementing specialist dementia services across appropriate prison settings is one of its commissioning intentions for 2017-18.</p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 15:10:13 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	452 label Biography information for Lord Bradley

751337

registered interest
date	12/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Primary Care Support England
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the administration by Primary Care Support England.
tabling member constituency	Amber Valley
tabling member printed	Nigel Mills
uin	4641
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>NHS England has been closely monitoring the administration and performance of Primary Care Support England (PCSE) and reports that it has made good overall progress in improving the quality of the services provided.</p><p> </p><p>Improvements in administering general practitioner (GP) pensions are currently underway. NHS England is working with PCSE to address a range of historical and current issues, and implement new, consistent national processes. These replace a range of different local legacy processes. PCSE does not administer GP salaries.</p><p> </p><p>There is no data available on the average length of time taken to process changes in a GP’s circumstances in 2016-17. The speed of processing changes in a GP’s circumstances depends on the availability of complete information from the applicant, and appropriate authorisations for the change from relevant parties. NHS England has reported that recently received changes are typically being processed in two to six weeks.</p><p>Information on the number of overpayments and underpayments of GP pension contributions at 31 March 2017 is not yet available. It will be possible to calculate pension contributions for the year to 31 March 2017 in February 2018, once GPs have submitted details of their earnings for the financial year 2016/17.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4636 4637 4642 question first answered 19/07/2017 13:34:27 answering member 4067 label Biography information for Steve Brine
tabling member	4136 label Biography information for Nigel Mills

751338

registered interest
date	12/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the administration by Primary Care Support England of GP salaries and pensions.
tabling member constituency	Amber Valley
tabling member printed	Nigel Mills
uin	4642
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>NHS England has been closely monitoring the administration and performance of Primary Care Support England (PCSE) and reports that it has made good overall progress in improving the quality of the services provided.</p><p> </p><p>Improvements in administering general practitioner (GP) pensions are currently underway. NHS England is working with PCSE to address a range of historical and current issues, and implement new, consistent national processes. These replace a range of different local legacy processes. PCSE does not administer GP salaries.</p><p> </p><p>There is no data available on the average length of time taken to process changes in a GP’s circumstances in 2016-17. The speed of processing changes in a GP’s circumstances depends on the availability of complete information from the applicant, and appropriate authorisations for the change from relevant parties. NHS England has reported that recently received changes are typically being processed in two to six weeks.</p><p>Information on the number of overpayments and underpayments of GP pension contributions at 31 March 2017 is not yet available. It will be possible to calculate pension contributions for the year to 31 March 2017 in February 2018, once GPs have submitted details of their earnings for the financial year 2016/17.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4636 4637 4641 question first answered 19/07/2017 13:34:27 answering member 4067 label Biography information for Steve Brine
tabling member	4136 label Biography information for Nigel Mills

751360

registered interest
date	12/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the total NHS pay bill has been in each of the last five years; and if he will make a statement.
tabling member constituency	Corby
tabling member printed	Tom Pursglove
uin	4756
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The total Hospital and Community Health Service (HCHS) pay bill for the previous five years is as follows:</p><table><tbody><tr><td><p>Year</p></td><td><p>Total HCHS pay bill (£)</p></td></tr><tr><td><p>2011-12</p></td><td><p>43.284 billion</p></td></tr><tr><td><p>2012-13</p></td><td><p>43.663 billion</p></td></tr><tr><td><p>2013-14</p></td><td><p>44.140 billion</p></td></tr><tr><td><p>2014-15</p></td><td><p>45.085 billion</p></td></tr><tr><td><p>2015-16</p></td><td><p>46.112 billion</p></td></tr></tbody></table><p> </p><p>Source: Department of Health’s Headline HCHS Pay bill Metrics, which are based primarily on earnings statistics published by NHS Digital, supplemented by employer pension and national insurance contributions estimates informed by unpublished and unvalidated data from the Electronic Staff Record Data Warehouse.</p><p> </p><p> </p><p>The HCHS pay bill data for 2016-17 is not yet available.</p><p>The HCHS workforce comprises of staff working within hospital and community health settings, and so excludes general practitioners (GPs), GP practice staff and General Dental Practitioners.</p><p> </p><p>The HCHS pay bill for 2015/2016 is around £46 billion. National Health Service trusts and foundation trusts spend around 60% of their entire expenditure on pay. NHS pay systems have an inbuilt pressure because of incremental pay of around £790 million a year. The value of increments for non-medical staff employed under the national Agenda for Change pay framework ranges from £176 to £4,599; and from 1.0% to 6.7%, which is in additional to annual pay awards.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/07/2017 13:40:54 answering member 1542 label Biography information for Philip Dunne
tabling member	4369 label Biography information for Tom Pursglove

751364

registered interest
date	12/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Pensions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average length of time was for Primary Care Support England to process a change in circumstances notified by a GP in relation to its pension scheme in 2016-17.
tabling member constituency	Amber Valley
tabling member printed	Nigel Mills
uin	4636
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>NHS England has been closely monitoring the administration and performance of Primary Care Support England (PCSE) and reports that it has made good overall progress in improving the quality of the services provided.</p><p> </p><p>Improvements in administering general practitioner (GP) pensions are currently underway. NHS England is working with PCSE to address a range of historical and current issues, and implement new, consistent national processes. These replace a range of different local legacy processes. PCSE does not administer GP salaries.</p><p> </p><p>There is no data available on the average length of time taken to process changes in a GP’s circumstances in 2016-17. The speed of processing changes in a GP’s circumstances depends on the availability of complete information from the applicant, and appropriate authorisations for the change from relevant parties. NHS England has reported that recently received changes are typically being processed in two to six weeks.</p><p>Information on the number of overpayments and underpayments of GP pension contributions at 31 March 2017 is not yet available. It will be possible to calculate pension contributions for the year to 31 March 2017 in February 2018, once GPs have submitted details of their earnings for the financial year 2016/17.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4637 4641 4642 question first answered 19/07/2017 13:34:27 answering member 4067 label Biography information for Steve Brine
tabling member	4136 label Biography information for Nigel Mills

751370

registered interest
date	12/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Fast Food: Advertising
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the effect of junk food advertising on levels of obesity among children and young people.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	4681
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>There has been no assessment made of the effect of fast food advertising on levels of obesity among children and young people.</p><p> </p><p>In October 2015, Public Health England published its review ‘Sugar reduction: The evidence for action: A mixed method review of behaviour changes resulting from marketing strategies targeted at high sugar food and non-alcoholic drinks’. This review found that all forms of advertising are effective in influencing the preference and purchase of high sugar foods and non-alcoholic drinks and increasing their consumption. New forms of advertising including, advergames, discounting, use of character branding, product size and supermarket product placement, can influence high sugar product selection or consumption. It would be difficult to assess the impact of one strategy in isolation as individuals are exposed to a whole variety of marketing strategies across various different mediums.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/07/2017 13:37:28 answering member 4067 label Biography information for Steve Brine
tabling member	534 label Biography information for Chris Ruane

750528

registered interest
date	11/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surrogacy: Lone Parents
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government, further to the Written Answers by Nicola Blackwood MP on 8 March (HC66737) and by Philip Dunne MP on 27 June (HC510), whether a remedial order to allow single parents to apply for a parental order following surrogacy will be laid before Parliament after the summer recess; and if so, whether that order will operate retrospectively once approved.
tabling member printed	Baroness Barker
uin	HL660
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>It is the Government’s intention to lay the remedial order, which will allow single people to apply for a parental order in a surrogacy arrangement, after the summer recess. The order will include a provision to allow for retrospective application for a parental order by single people.</p><p> </p><p>The Government supports the inclusion of a review of surrogacy legislation in the Law Commission’s 13<sup>th</sup> programme of law reform. The Department has not made any alternative plans for a review of surrogacy but would consider options carefully, if, for any reason, the Law Commission decides not to proceed.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL661 question first answered 19/07/2017 13:51:00 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2501 label Biography information for Baroness Barker

750529

registered interest
date	11/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surrogacy
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government, in the light of the conclusion of the report by the Surrogacy UK Working Group on Surrogacy Law, Surrogacy in the UK: Myth bashing and reform, published in November 2015, whether they continue to support the inclusion of a review of the law on surrogacy in the Law Commission's 13th programme of law reform; and whether they will commit to their own review of the law on surrogacy if the Law Commission does not take this forward.
tabling member printed	Baroness Barker
uin	HL661
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>It is the Government’s intention to lay the remedial order, which will allow single people to apply for a parental order in a surrogacy arrangement, after the summer recess. The order will include a provision to allow for retrospective application for a parental order by single people.</p><p> </p><p>The Government supports the inclusion of a review of surrogacy legislation in the Law Commission’s 13<sup>th</sup> programme of law reform. The Department has not made any alternative plans for a review of surrogacy but would consider options carefully, if, for any reason, the Law Commission decides not to proceed.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL660 question first answered 19/07/2017 13:51:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2501 label Biography information for Baroness Barker

750534

registered interest
date	11/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Democratic Republic of Congo: Mining
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the level of suicide among teenagers in the UK.
tabling member printed	Lord Eames
uin	HL666
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The Office for National Statistics publishes annual statistics on suicide registrations for the United Kingdom, including age-specific suicide rates by five-year age groups. A table attached provides statistics for suicides in people aged 10-14 and 15-19 in the UK between 1981 and 2015, the latest data available, is attached due to the size of the data.</p><p> </p><p>The Department leads delivery of the Cross-Government Suicide Prevention Strategy for England. Suicide prevention is a devolved matter in other UK countries.</p><p> </p><p>The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, which is commissioned by NHS England and supported by the Department, published a thematic review in 2016, Suicide by Children and Young People in England. The report identified ten common themes relating to suicides by people under 20 years of age:</p><p> </p><p>- family factors such as mental illness;</p><p>- abuse and neglect;</p><p>- bereavement and experience of suicide;</p><p>- bullying;</p><p>- suicide-related internet use;</p><p>- academic pressures, especially related to exams;</p><p>- social isolation or withdrawal;</p><p>- physical health conditions that may have social impact;</p><p>- alcohol and illicit drugs; and</p><p>- mental ill health, self-harm and suicidal ideas.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 15:11:50 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL666 formatted table.docx title Suicides in UK 1981-2015 10-19 year olds
tabling member	2793 label Biography information for Lord Eames

750552

registered interest
date	11/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the chronic fatigue syndrome myalgic encephalomyelitis (ME/CFS) clinical services which were set up between 2004 and 2006; what proportion of patients accessing services recover from ME/CFS or show signs of improvement; and what assessment they have made of the value for money of these services.
tabling member printed	The Countess of Mar
uin	HL684
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>No central assessment has been made of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) clinical services established between 2004 and 2006. The commissioning of services for people with CFS/ME is a local matter, and the management of patients within such services is the responsibility of the commissioners, providers and clinicians responsible for their care. Clinical commissioning groups have a duty to exercise their functions effectively, efficiently and economically</p><p> </p><p>Since its publication in 2007, the National Institute for Health and Care Excellence (NICE) clinical guideline on the management of CFS/ME in adults and children, which set outs best practice on the care, treatment and support of people with the condition, has supported the local National Health Service in delivering services for people with the condition. The guidance recognises the challenges in managing a condition for which there is no definitive diagnostic test, no clear understanding of the causes and process of disease and no cure. The guidance is also clear that there is no one form of treatment to suit every patient and that treatment and care should take into account the personal needs and preferences of the patient. NICE is currently reviewing the guidance to ensure it reflects the latest available evidence and a decision regarding this matter is expected shortly.</p><p><br></p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 11:03:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar